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Individual

KEREISHAH CHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
157 COUNTY ROAD 4765, KEMPNER, TX 76539-8100
(786) 399-9139
Mailing address
157 COUNTY ROAD 4765, KEMPNER, TX 76539-8100
(786) 399-9139

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1158246
TX

Other

Enumeration date
03/17/2026
Last updated
03/17/2026
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